论文部分内容阅读
目的:探究宫腔镜下手术治疗宫腔粘连(IUA)的临床疗效及IUA发生的相关危险因素。方法:本研究于2014年6月~2015年6月期间,选择我院流产患者213例为研究对象,根据患者是否发生IUA,将其分为粘连组(103例)和未粘连组(110例),粘连组患者在宫腔镜下行手术治疗。详细记录两组基本信息及相关疾病史,分析IUA的影响因素,观察治疗后疗效。结果:单因素分析显示两组患者间孕次、吸宫时负压及吸宫时间比较,差异均有统计学意义(P<0.05);多因素分析显示吸宫时负压与吸宫时间是IUA的危险因素(P<0.05);宫腔镜下术后轻度IUA患者总有效率为100%,中度IUA患者总有效率为88.24%;重度IUA患者总有效率为75.00%;三组间治疗的总有效率存在显著差异(x~2=13.870,P=0.001)。结论:吸宫时负压与吸宫时间是IUA发生的危险因素,宫腔镜下治疗IUA具有较高的临床疗效,值得临床推广应用。
Objective: To explore the clinical efficacy of hysteroscopic surgery for intrauterine adhesions (IUA) and related risk factors for IUA. Methods: From June 2014 to June 2015, 213 cases of miscarriage in our hospital were selected as study subjects. According to whether patients had IUA, the patients were divided into adhesion group (n = 103) and non-adhesion group (n = 110) ), Adhesion group patients underwent hysteroscopic surgery. Detailed records of two groups of basic information and history of related diseases, analysis of the influencing factors of IUA, observe the effect after treatment. Results: Univariate analysis showed that the difference between the two groups was statistically significant (P <0.05), the negative pressure at the time of suctioning and the time of taking the time of suction, and the negative pressure and the time of taking the patient were IUA risk factors (P <0.05); hysteroscopic surgery in patients with mild IUA total effective rate was 100%, the total effective rate was 88.24% in patients with moderate IUA; severe total IUA patients was 75.00%; three groups There was a significant difference in the overall efficacy between treatments (x ~ 2 = 13.870, P = 0.001). Conclusions: The negative pressure and the time of taking an uterus are the risk factors of IUA during the suctioning of the uterus. Hysteroscopic treatment of IUA has higher clinical efficacy and is worthy of clinical application.